WASHINGTON, D.C. 20549
Quarterly Report Under Section 13 of 15(d)
of the Securities Exchange Act of 1934
Commission file number 333-37185
NATIONAL HEALTHCARE CORPORATION
(Exact name of registrant as specified in its Charter)
(State or other jurisdiction of incorporate or organization
(I.R.S. Employer Identification No.)
Murfreesboro, TN
(Address of principal executive offices)
(Zip Code)
Act of 1934 during the preceding 12 months.
Yes x
PART I. FINANCIAL INFORMATION
INTERIM CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(Unaudited)
Three Months Ended
September 30
Nine Months Ended
2001
2000
$ 97,778
11,532,105
The accompanying notes to interim condensed consolidated financial statements are an integral part of these statements.
INTERIM CONDENSED CONSOLIDATED BALANCE SHEETS
(in thousands)
The interim condensed balance sheet at December 31, 2000 is taken from the audited financial statements at that date.
LIABILITIES AND SHAREOWNERS' EQUITY
The accompanying notes to interim condensed consolidated financial statements are in integral part of these consolidated balance sheets.
INTERIM CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
and other deposits
(52)
The accompanying notes to interim condensed consolidated financial statements are an integral part of these consolidated statements.
Interim Condensed Consolidated Statements of Shareowners' Equity
(in thousands, except share amounts)
(unaudited)
from Sale
of Shares
Capital
Earnings
Unrealized
Gains (Losses)
on Securities
Total Share-
owners'
Equity
NOTES TO INTERIM CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
September 30, 2001
Note 1 - CONSOLIDATED FINANCIAL STATEMENTS:
The unaudited financial statements to which these notes are attached include, in our opinion, all adjustments which are necessary to fairly present the financial position, results of operations and cash flows of National HealthCare Corporation ("NHC" or the "Company"). We assume that users of these interim financial statements have read or have access to the audited December 31, 2000 financial statements and Management's Discussion and Analysis of Financial Condition and Results of Operations and that the adequacy of additional disclosure needed for a fair presentation, except in regard to material contingencies, may be determined in that context. Accordingly, footnotes and other disclosures which would substantially duplicate the disclosure contained in our most recent annual report to stockholders have been omitted. This interim financial information is not necessarily indicative of the results that may be expected for a full year for a variety of reasons. Our audited December 31, 2000 financial statements are available at our web site: www.nhccare.com.
Note 2 - OTHER REVENUES:
Revenues from management, accounting and financial services include service fees and interest income on notes receivable from the managed long-term health care centers. Revenue from managed centers in the three months ended September 30, 2000 includes $12,727,000 of management fees received from National Health Corporation that were previously not accrued. "Other" revenues include non-health care related earnings.
Note 3 - GUARANTEES AND CONTINGENCIES:
Guarantees and Related Events
In order to obtain management agreements and to facilitate the construction or acquisition of certain health care centers which we manage for others, we have guaranteed some or all of the debt (principal and interest) on those centers. For this service, we charge an annual guarantee fee of 1% to 2% of the outstanding principal balance guaranteed, which fee is in addition to our management fee. The principal amounts outstanding under these guarantees is approximately $26,420,000 (net of available debt service reserves) at variable and fixed interest rates with a weighted average rate of 6.8% at September 30, 2001. These guarantee fees approximate fees that we would currently charge to enter into similar guarantees.
All of the guaranteed indebtedness is secured by first mortgages, pledges of personal property, accounts receivable and, in certain instances, by the personal guarantees of the owners of the facilities. The borrower has granted second mortgages over the relevant properties in our favor. Such rights may be enforced if we are required to pay under our guarantee.
As a result of the health care industry's generally weak financial position, the uncertainty engendered by the increasing number of medical liability claims in the state of Florida, the cancellation of our liability policy in that state, and the significant principal amortization of our debt required by our lenders, we have experienced and are experiencing (or the entities for whom we extended our guarantee has experienced) the potential for significant defaults in financial obligations which may adversely impact us. A summary of the potential defaults are as follows:
NHC Debt: With regard to certain debt financed through National Health Corporation ("National") and its sole shareholder, the National Health Corporation Leveraged Employee Stock Ownership Plan and Trust (the "ESOP") (total outstanding balance of $27,542,000 at September 30, 2001, of which $10,464,000 is the primary obligation of NHC), the lending institutions have the right to put the entire outstanding balance of the debt to National Health Investors, Inc. ("NHI") and NHC effective December 16, 2001. Upon exercise of the put option by the lending institutions, we would be obligated to purchase 38% of the then outstanding balance and NHI would be obligated to purchase 62% of the then outstanding balance. We are in the process of discussing this December 16, 2001 put option with the lending institutions. Management believes that the lending institutions will agree to not exercise the put option provided that NHC, NHI and National make additional principal repayments or increase the rate of interest on the debt during the last quarter of 2001. If the lending institutions exercise the put option, NHC and NHI will be required to purchase the entire outstanding balance of the debt, which would require NHC to use a significant amount of its available cash. As a result of the put option, our primary obligation under this debt instrument ($10,464,000) has been classified as a current liability in our consolidated balance sheet as of September 30, 2001.
Our long-term debt also includes a bank credit facility (total balance of $13,643,000 at September 30, 2001) that matures in November 2002. We currently expect to either retire or refinance that debt when due.
CFA Notes: Care Foundation of America, Inc. ("CFA") purchased from National Health Investors, Inc. ("NHI") six facilities through the issuance of a purchase money mortgage note. We are a limited ($3,000,000) guarantor of the outstanding mortgage note to NHI, which is collateralized by the pledge of certain marketable securities in the approximate amount of $5,000,000. We do not manage the facilities but do provide financial and accounting services. The failure of these facilities to make their payments on the first mortgage note could result in the acceleration of that indebtedness and an attempt by the first mortgage holder to collect its total of up to $3,000,000 in guarantees from us or from our pledged assets held by the first mortgage lender.
National Short Term Liquidity Demand: National also has a certain additional debt obligation financed through the ESOP (total balance of $14,000,000 at September 30, 2001). None of this debt is our obligation, however, this debt is cross-defaulted with other debt of National which we have guaranteed. Under the terms of the non-guaranteed debt and related agreements, the lending institution has the right to put the entire outstanding balance of the debt to National at any time after September 30, 2002. If the lending institution does exercise its put option and National is unable to refinance or purchase the entire outstanding balance of the debt, all of National's debt, including that debt which is guaranteed by us would be in default.
Note 4 - NEW ACCOUNTING PRONOUNCEMENTS:
From June 1998 through June 2000, the Financial Accounting Standards Board ("FASB") issued Statement of Financial Accounting Standards No. 133, "Accounting for Derivative Instruments and Hedging Activities" ("SFAS 133") and various amendments and interpretations. SFAS 133, as amended, establishes accounting and reporting standards requiring that any derivative instrument be recorded in the balance sheet as either an asset or liability measured at its fair value. SFAS 133 requires that changes in the derivative's fair value be recognized currently in earnings unless specific hedge accounting criteria are met. We have adopted SFAS 133, as amended, effective January 1, 2001.
Our investments in marketable securities include an investment in NHI debt securities convertible into NHI common stock. SFAS 133 requires that we account for the NHI debt securities as two separate instruments: a purchased call option on the issuer's stock and a nonconvertible interest-bearing debt security. Because we are not using the purchased call options as hedging instruments, SFAS 133 requires that we report changes in the fair value of the separated call options currently in earnings. In addition, we are required to accrete the resulting discount on the nonconvertible debt security into income over the remaining term of the nonconvertible debt security. At December 31, 2000, the fair value of the purchased call options, as determined using an option pricing model, was approximately $299,000. The change in the fair value of the purchased call options for the nine months ended September 30, 2001 resulted in an increase to other revenues and pretax income of $317,000. Any prospective changes in the fair value of the purchased call options could introduce volatility into NHC's results of operations in subsequent periods.
In July 2001, the FASB issued Statement of Financial Accounting Standards No. 141, "Business Combinations" ("SFAS 141") and Statement of Financial Accounting Standards No. 142, "Goodwill and Other Intangible Assets" ("SFAS 142"). SFAS 141 supersedes Accounting Principles Board ("APB") Opinion No. 16, "Business Combinations" and requires all business combinations to be accounted for using the purchase method of accounting. In addition, SFAS 141 requires that identifiable intangible assets be recognized apart from goodwill based on meeting certain criteria. SFAS 142 supersedes APB Opinion No. 17, "Intangible Assets" and addresses how intangible assets and goodwill should be accounted for upon and after their acquisition. Specifically, goodwill and intangible assets with indefinite useful lives will not be amortized but will be subject to impairment tests based on their fair value. We will adopt SFAS 141 and 142 on January 1, 2001. We do not anticipate the adoption of these pronouncements to have a material effect on its consolidated financial position, results of operations or cash flows.
During August 2001, the FASB issued Statement of Financial Accounting Standards No. 144, "Accounting for the Impairment or Disposal of Long-Lived Assets" (SFAS 144). SFAS 144 is effective for fiscal years beginning after December 15, 2001 and supersedes certain existing accounting literature, which literature NHC currently uses to evaluate the recoverability of its real estate properties. NHC will adopt the provisions of SFAS 144 effective January 1, 2002 and is currently evaluating the effect of this pronouncement on its financial position, results of operations or cash flows.
Note 5 - LEGAL PROCEEDINGS:
Braeuning vs. NHC
NHC was a defendant in a lawsuit styled Braeuning, et al. vs. National HealthCare L.P., et al. filed on April 9, 1996. The Federal government participated in the lawsuit as an intervening plaintiff. The suit alleged that NHC submitted cost reports and routine cost limit exception requests containing "fraudulent allocation of routine nursing services to ancillary service cost centers" and also alleged that NHC improperly allocated skilled nursing service hours in four managed centers, all in the state of Florida. In its defense of the matter, NHC asserted that the cost report information of the centers was either appropriately filed or, upon self-audit amendment, reflects adjustments for, among other items, i) correction of unintentional misallocations; ii) instances in which the self-audit process has had to use different source documents due to loss or misplacement of the original source documents; and iii) recalculation of certain nursing time based upon indirect allocation percentages rather than time studies, as were originally used. The cost report periods covered by the suit included 1991 through 1996. A number of amended cost reports were filed and NHC finalized the self-audit process for the years 1995 and 1996. NHC, the Department of Justice and the Health Care Financing Administration settled the suit by written agreement approved by the Court on December 15, 2000. Pursuant to that Agreement, and based upon the self-audit adjustments as further negotiated by the parties, NHC agreed to a repayment totaling $17,623,000 payable over five years at 6% interest, with no interest for the initial six months. No fines or penalties of any nature are included within this amount. The government also agreed to credit all 1997 and 1998 Routine Cost Limit exception cost report settlements owed by it to us and/or our managed centers against the settlement amount upon finalization of those cost reports. As a result of the initial settlement of the 1997 and 1998 cost reports, the government applied $13,960,000 toward the reduction of our debt effective June 12, 2001. The balance of the debt at September 30, 2001 is approximately $1,704,000. In accordance with our revenue recognition policies, we will record the revenues associated with the approved Routine Cost Limit exception cost report settlements when such approvals, including the final cost report audits, are assured.
General Liability Lawsuits
The entire long term care industry has seen a dramatic increase in personal injury/wrongful death claims based on alleged negligence by nursing homes and their employees in providing care to residents. This is especially prevalent in Florida. As of September 30, 2001, we and/or our managed centers are defendants in 69 such claims in Florida, compared to 41 in all other states combined.
We have insurance coverage for incidents occurring in all providers owned, leased or managed by us. The coverages include both primary policies and umbrella policies. For years 1999 and forward, the policies contain a per incident deductible. For a discussion of our inability to obtain coverage for our long term care centers in Florida after September 30, 2000, see Note 6.
Note 6. FLORIDA DIVESTITURE:
Because professional liability insurance in the state of Florida was not available, effective October 1, 2000, we ceased all long-term health care operations in Florida. Prior to October 1, 2000, we had owned and operated two long-term health care centers in Florida. In addition, we had leased from NHI and NHR ten long-term health care centers and three assisted living centers in Florida.
Effective October 1, 2000, we leased our two owned long-term health care centers to a group of non-NHC affiliated companies. Furthermore, the individual NHR and NHI leases were terminated effective October 1, 2000, and the centers were leased to new tenants unrelated to us; however, we are still the primary obligor because the properties were originally leased to us pursuant to a master lease. Lease payments received by NHI and NHR from the new leases offset our lease obligations pursuant to the master operating lease.
We also sold the net difference between current assets and current liabilities of our owned and leased Florida facilities to the non-NHC affiliated group of companies in exchange for total notes receivable of approximately $4,480,000. The notes have now been paid in full. We additionally leased the furniture, fixtures and leasehold improvements of these Florida properties to the same group of companies. Finally, we initially entered into agreements to provide certain working capital loans to the non-NHC affiliated group of companies up to a maximum of $4,000 per bed per center. No draws were ever made on the working capital loans and the notes and any obligations thereunder have been canceled.
Although we do not provide any health care related management services for the two owned centers or for the thirteen leased centers, we are providing accounting and financial services for these centers.
We report rent income on our leased property and equipment and income from accounting and financial services only when cash is received for these centers. During the nine months ended September 30, 2001, we recognized $972,000 of rent income from these centers, all of which amount was recognized during the three months ended September 30, 2001. During the three months ended and nine months ended September 30, 2001, we recognized $1,299,000 and $4,067,000, respectively, of income from accounting and financial services to these centers.
Additionally, and also effective October 1, 2000, we ceased all health care management services to another ten Florida long-term health care centers.
During the nine months ended September 30, 2000, the Florida long-term health care centers and assisted living centers generated net patient revenues of approximately $69,117,000 and total costs and expenses of $71,217,000. Management believes that the divestiture of its Florida operations will not have a material impact on NHC's earnings in future periods except to reduce both revenues and expenses and to reduce the substantial risks of operating in the State of Florida without professional liability insurance.
Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations
Overview
National HealthCare Corporation ("NHC" or the "Company") operates or manages 83 long-term health care centers with 10,808 beds in 12 states. We provide nursing care as well as ancillary therapy services to patients in a variety of settings including long-term care nursing centers (83), subacute care units (9), Alzheimer's care units (9), homecare programs (33), assisted living centers (21) and independent living centers (7). In addition, we provide accounting and financial services to owners of 31 long-term health care centers and investment advisory services to National Health Investors, Inc. ("NHI") and National Health Realty, Inc. ("NHR").
Results of Operations
Three Months Ended September 30, 2001 Compared to Three Months Ended September 30, 2000.
Results for the three month period ended September 30, 2001 include a 16.6% decrease in net revenues compared to the same period in 2000 and a 40.8% increase in pretax income compared to the same period in 2000.
The decrease in revenues and expenses is primarily due to the October 1, 2000 divestiture of 12 long-term care centers and three assisted living centers in Florida. Prior year revenues and expenses also included certain nonrecurring items which, when netted, offset one another. If the operations of the divested assets and the nonrecurring items are excluded from prior year results, revenues in 2001 increased by 15% or $14,433,000 and expenses increased by 13% or $11,769,000. Excluding the effect of the October 1, 2000 divestiture, revenues were increased primarily due to improved Medicare, Medicaid and private pay rates.
Revenues from management or accounting and financial services fees, which are included in the Statements of Income in Other Revenues, decreased $10.0 million or 60.0% in 2001 from $16.8 million in 2000 to $6.7 million in 2001. The decrease is primarily due to the receipt of $12.7 million of previously unaccrued management fee revenue from National Health Corporation in 2000. The decrease is partially offset by the recognition of management fees and accounting and financial fees which have been paid in 2001 but which were not being earned in the prior year. During the three months ended September 30, 2001, NHC provided financial and accounting services for 31 facilities as compared to six facilities during the three months ended September 30, 2000.
Total costs and expenses for the 2001 third quarter decreased $23.4 million or 18.6% to $102.5 million from $125.9 million. The decrease in cost and expenses is primarily due to the October 1, 2000 divestiture of twelve long-term care centers and three assisted living centers in Florida. If the operations of the divested assets are excluded from prior year results, total costs and expenses increased $2.4 million or 2.4%. Excluding the effect of October 1, 2000 divestitures, salaries, wages and benefits, the largest operating costs of this service company, decreased $2.9 million or 4.7% to $58.9 million from $61.8 million. Again, excluding the effect of the October 1, 2000 divestitures, other operating expenses increased $7.1 million or 32.6% to $29.0 million for the 2001 period compared to $21.9 million in the 2000 period. Excluding the effect of October 1, 2000 divestitures, rent increased $.7 million or 7.4% to $10.2 million from $9.5 million. Depreciation and amortization decreased 39.4% to $3.2 million. Interest costs decreased $.5 to $1.2 million.
The decrease in salaries, wages and benefits is further due in part to prior year expenses totaling $9.4 million related to the forgiveness of employee notes receivable. The decreases are offset in part due to increased bonus and benefit programs in 2001 compared to the quarter a year ago. The increases result both from inflationary increases and from changes in the benefit programs.
Increases in other operating costs and expenses are due to inflationary increases and to write-offs of certain developmental costs related to projects that are no longer being considered. Rent increases (excluding the effect of the October 1, 2000 divestitures) are due primarily to additions at existing rental properties.
The total census at owned and leased centers for the quarter averaged 94.0% compared to an average of 94.5% for the same quarter a year ago.
Nine Months Ended September 30, 2001 Compared to Nine Months Ended September 30, 2000.
Results for the nine month period ended September 30, 2001 include a 14.0% decrease in net revenues compared to the same period in 2000 and a 25.9% increase in net income.
The decrease in revenues and expenses is primarily due to the October 1, 2000 divestiture of 12 long-term care centers and three assisted living centers in Florida. Prior year revenues and expenses also included certain nonrecurring items which, when netted, offset one another. If the operations of the divested assets and the nonrecurring items are excluded from prior year results, revenues in 2001 increased by 11% or $31.0 million and total costs and expenses increased by 10% or $26.7 million. Excluding the effect of the October 1, 2000 divestiture, revenues were increased primarily due to improved Medicare, Medicaid and private pay rates.
Revenues from management or accounting and financial services fees, which are included in the Statements of Income in Other Revenues, decreased $5.3 million or 22.1% in 2001 from $24.0 million in 2000 to $18.7 million in 2001. The decrease is primarily due to the receipt of $12.7 million of previously unaccrued management fee revenue from National Health Corporation in 2000. The decrease is partially offset by the recognition of management fees and accounting and financial fees which have been paid in 2001 but which were not being earned in the prior year. During the nine months ended September 30, 2001, NHC provided financial and accounting services for 31 facilities as compared to six facilities during the nine months ended September 30, 2000.
Total costs and expenses for the 2001 nine month period decreased $53.9 million or 15.3% to $295.4 million from $349.3 million. The decrease in cost and expenses is primarily due to the October 1, 2000 divestiture of twelve long-term care centers and three assisted living centers in Florida. If the operations of the divested assets are excluded from prior year results, total costs and expenses increased $17.3 million or 6.2%. Excluding the effect of October 1, 2000 divestitures, salaries, wages and benefits, the largest operating costs of this service company, increased $1.6 million or .1% to $168.0 million from $166.4 million. Again, excluding the effect of the October 1, 2000 divestitures, other operating expenses increased $15.1 million or 22.3% to $83.1 million for the 2001 period compared to $68.0 million in the 2000 period. Excluding the effect of October 1, 2000 divestitures, rent increased $3.9 million or 14.4% to $30.7 million from $26.9 million. Depreciation and amortization decreased 19.8% to $9.5 million. Interest costs decreased $.9 million to $4.1 million.
The decrease in salaries, wages and benefits is further due in part to the prior year expenses totaling $9.4 million related to the forgiveness of employee notes receivable. The decreases are offset in part due to increased bonus and benefit programs in 2001 compared to the nine months a year ago. The increases result both from inflationary increases and from changes in the benefit programs.
Increases in other operating costs and expenses are due to inflationary increases and to the write-off of certain development costs related to projects that are no longer being considered. Rent increases (excluding the effect of the October 1, 2000 divestitures) are due primarily to additions at existing rental properties.
The total census at owned and leased centers for the nine month period averaged 94.1% compared to an average of 94.2% for the same period a year ago.
Liquidity and Capital Resources
Net cash provided by operating activities during the first nine months of 2001 totaled $21.3 million compared to $38.3 million provided by operating activities in the prior year period. The decrease in cash generated from operating activities is due primarily to decreases in trade accounts payable and forgiveness of employee notes receivable compared to the prior period.
Cash flows provided by investing activities during the first nine months of 2001 totaled $3.9 million compared to $24.5 million used in the same period in 2000. Cash used for additions to property and investment in notes receivable totaled $9.9 million in 2001 compared to $20.9 million in 2000. Cash provided by sales of marketable securities totaled $5.4 million compared to $6.6 million invested in marketable securities in 2000. Collections of notes receivable generated $8.4 million in 2001 compared to $3.0 million in 2000.
Cash used in financing activities totaled $6.0 million in the first nine months of 2001 compared to cash provided by financing activities $14.1 million for the same period in 2000. Cash used for payments of debt totaled $7.2 million and increases in cash held by trustees totaled $2.0 million in 2001. In the prior year, cash flows used totaled $1.7 million for payments on debt and $3.0 million for decreases in minority interest in subsidiaries. Also, cash provided by financing activities included $3.5 million of proceeds from debt issuance compared to $18.0 in the prior year.
Reduction of Long-Term Debt
As part of our settlement of the Braeuning vs. NHC lawsuit, we agreed on December 15, 2000 to repay the Health Care Financing Administration ("HCFA") a total of $17,623,000 over five years at 6% interest. HCFA agreed to credit the amount payable for all 1997 and 1998 Routine Cost Limit Exception cost report settlements owed by it to us against the settlement amount. Effective June 12, 2001, HCFA applied $13,960,000 toward the reduction of our debt to them. The balance of the debt at September 30, 2001 is approximately $1,704,000. In accordance with our revenue recognition policies, we will record the revenues associated with the approved Routine Cost Limit exception cost report settlements when such approvals, including the final cost report audits, are assured.
At September 30, 2001, our ratio of long-term obligations and deferred income to capital is 1.10 to 1.
Our current cash on hand, marketable securities, short-term notes receivable, operating cash flows and, as needed, our borrowing capacity are expected to be adequate to finance any required debt reduction plus our operating requirements and growth and development plans for 2001 and into 2002.
Guarantees and Contingencies
We have guaranteed approximately $26.4 million of the debt of certain health care centers which we manage for others. As a result of the health care industry's generally weak financial position, our guarantee of third party debt and the uncertainty engendered by the increasing number of medical liability claims in the state of Florida, we have experienced and are experiencing the potential for significant defaults in financial obligations which we have undertaken. A summary of the potential defaults are as follows:
NHC Debt: With regard to certain debt financed through National Health Corporation ("National") and its sole shareholder, the National Health Corporation Leveraged Employee Stock Ownership Plan and Trust (the "ESOP") (total outstanding balance of $27,542,000 at September 30, 2001, of which $10,464,000 is the primary obligation of NHC), the lending institutions have the right to put the entire outstanding balance of the debt to NHI and NHC effective December 16, 2001. Upon exercise of the put option by the lending institutions, we would be obligated to purchase 38% of the then outstanding balance and NHI would be obligated to purchase 62% of the then outstanding balance. We are in the process of discussing this December 16, 2001 put option with the lending institutions. Management believes that the lending institutions will agree to not exercise the put option provided that NHC, NHI and National make additional principal repayments or increase the rate of interest on the debt during the last quarter of 2001. If the lending institutions exercise the put option, NHC and NHI will be required to purchase the entire outstanding balance of the debt, which would require NHC to use a significant amount of its available cash. As a result of the put option, our primary obligation under this debt instrument ($10,464,000) has been classified as a current liability in our consolidated balance sheet as of September 30, 2001.
CFA Notes: Care Foundation of America, Inc. ("CFA") purchased from National Health Investors, Inc. ("NHI") six facilities through the issuance of a purchase money mortgage note. We are a limited ($3,000,000) guarantor of the outstanding mortgage note to NHI, which is collateralized by the pledge of certain marketable securities in the approximate amount of $5,000,000. We do not manage the facilities but do provide financial and accounting services. The failure of these facilities to make their payments on the first mortgage notes could result in the acceleration of that indebtedness and an attempt by the first mortgage holder to collect its total of up to $3,000,000 in guarantees from us or from our pledged assets held by the first mortgage lender. We believe we have the financial resources to meet our guarantee obligations, if necessary.
National Short Term Liquidity Demand: National also has a certain additional debt obligation financed through the ESOP (total balance of $14,000,000 at September 30, 2001). None of this debt is our obligation, however, this debt is cross-defaulted with other debt of National which we have guaranteed. Under the terms of the non-guaranteed debt and related agreements, the lending institution has the right to put the entire outstanding balance of the debt to National at any time after September 30, 2002. If the lending institution does exercise its put option and National is unable to refinance or purchase the entire outstanding balance of the debt, all of National's debt, including that debt which is guaranteed by us would be in default. We believe we have the reserves to meet our guarantee obligations, if necessary.
Cash Dividends--
Our charter authorizes the payment of dividends at the discretion of the Board of Directors; however, at present, we do not anticipate paying dividends.
New Accounting Pronouncements--
From June 1998 through June 2000, the Financial Accounting Standards Board ("FASB") issued Statement of Financial Accounting Standards No. 133, "Accounting for Derivative Instruments and Hedging Activities" ("SFAS 133") and various amendments and interpretations. SFAS 133, as amended, establishes accounting and reporting standards requiring that any derivative instrument be recorded in the balance sheet as either an asset or liability measured at its fair value. SFAS 133 requires that changes in the derivative's fair value be recognized currently in earnings unless specific hedge accounting criteria are met. We adopted SFAS 133, as amended, effective January 1, 2001.
Our investments in marketable securities include an investment in NHI debt securities convertible into NHI common stock. SFAS 133 requires that we account for the NHI debt securities as two separate instruments: a purchased call option on the issuer's stock and a nonconvertible interest-bearing debt security. Because we are not using the purchased call options as hedging instruments, SFAS 133 requires that we report changes in the fair value of the separated call options currently in earnings. In addition, we are required to accrete the resulting discount on the nonconvertible debt security into income over the remaining term of the nonconvertible debt security. At December 31, 2000, the fair value of the purchased call options, as determined using an option pricing model, was approximately $299,000. The change in the fair value of the purchased call options for the nine months ended September 30, 2001 resulted in an increase to other revenues and pretax income of $317,000. Any prospective changes in the fair value of the purchased call options could introduce volatility into our results of operations in subsequent periods.
Litigation
The entire long-term care industry has seen a dramatic increase in personal injury/wrongful death claims based on alleged negligence by nursing homes and their employees in providing care to residents. This is especially prevalent in Florida. As of September 30, 2001, we and/or our managed centers are defendants in 69 such lawsuits in Florida, compared to 41 in all other states combined.
There is certain additional litigation incidental to our business, none of which, in management's opinion, would be material to our financial position or results of operations.
Forward-Looking Statements
References throughout this document to the Company include National HealthCare Corporation and its wholly-owned subsidiaries. In accordance with the Securities and Exchange Commission's "Plain English" guidelines, this Quarterly Report on Form 10-Q has been written in the first person. In this document, the words "we", "our", "ours" and "us" refer only to National HealthCare Corporation and its wholly-owned subsidiaries and not any other person.
This Quarterly Report on Form 10-Q and other information we provide from time to time, contains certain "forward-looking" statements as that term is defined by the Private Securities Litigation Reform Act of 1995. All statements regarding our expected future financial position, results of operations or cash flows, continued performance improvements, ability to service and refinance our debt obligations, ability to finance growth opportunities, ability to control our patient care liability costs, ability to respond to changes in government regulations, ability to execute our three-year strategic plan, and similar statements including, without limitations, those containing words such as "believes", anticipates", "expects", "intends", "estimates", "plans", and other similar expressions are forward-looking statements.
Forward-looking statements involve known and unknown risks and uncertainties that may cause our actual results in future periods to differ materially from those projected or contemplated in the forward-looking statements as a result of, but not limited to, the following factors:
See the notes to the quarterly financial statement, and "Item 1. Business" as is found in our 2000 Annual Report on Form 10-K for a discussion of various governmental regulations and other operating factors relating to the healthcare industry and the risk factors inherent in them. This may be found on our web side at www.nhccare.com. You should carefully consider these risks before making any investment in the Company. These risks and uncertainties are not the only ones facing us. There may be additional risks that we do not presently know of or that we currently deem immaterial. If any of the risks actually occur, our business, financial condition or results of operations could be materially adversely affected. In that case, the trading price of our shares of stock could decline, and you may lose all or part of your investment. Given these risks and uncertainties, we can give no assurances that these forward-looking statements will, in fact, transpire and, therefore, caution investors not to place undue reliance on them.
Item 3. Quantitative and Qualitative Information About Market Risk
Interest Rate Risk--
Our cash and cash equivalents consist of highly liquid investments with a maturity of less than three months. As a result of the short-term nature of our cash instruments, a hypothetical 10% change in interest rates would have no impact on our future earnings and cash flows related to these instruments. Approximately $29.7 million of our notes receivable bear interest at fixed interest rates. As the interest rates on these notes receivable are fixed, a hypothetical 10% change in interest rates would have no impact on our future earnings and cash flows related to these instruments. Approximately $21.8 million of our notes receivable bear interest at variable rates (generally at prime plus 2%). Because the interest rates of these instruments are variable, a hypothetical 10% change in interest rates would result in a related increase or decrease in annual interest income of approximately $151,000. As of September 30, 2001, $33.3 million of our long-term debt and debt serviced by other parties bear interest at fixed interest rates. Because the interest rates of these instruments are fixed, a hypothetical 10% change in interest rates would have no impact on our future earnings and cash flows related to these instruments. The remaining $29.2 million of our long-term debt and debt serviced by other parties bear interest at variable rates. Because the interest rates of these instruments are variable, a hypothetical 10% change in interest rates would result in a related increase or decrease in annual interest expense of approximately $142,000.
Equity Price Risk--
We consider our investments in marketable securities as "available for sale" securities and unrealized gains and losses are recorded in stockholders' equity in accordance with Statement of Financial Accounting Standards No. 115. The investments in marketable securities are recorded at their fair market value based on quoted market prices. Thus, there is exposure to equity price risk, which is the potential change in fair value due to a change in quoted market price. Hypothetically, a 10% change in quoted market prices would result in a related 10% change in the fair value of our investments in marketable securities.
PART II. OTHER INFORMATION
Item 1. Legal Proceedings.
For a discussion of prior, current and pending litigation of material significance to NHC, please see Note 5 of this Form 10-Q.
Item 2. Changes in Securities. Not applicable
Item 3. Defaults Upon Senior Securities. None
Item 4. Submission of Matters to Vote of Security Holders. None
Item 5. Other Information. None
Item 6. Exhibits and Reports on Form 8-K.
(a) List of exhibits - None required
SIGNATURES
Pursuant to the requirements of the Security Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
(Registrant)